Individual
EMILY COOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3975 UNIVERSITY DR STE 110, FAIRFAX, VA 22030-2520
(540) 845-6940
Mailing address
2121 EISENHOWER AVE STE 501, ALEXANDRIA, VA 22314-4688
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
10/07/2025
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